Patient's question:
Please help translate the following content into English, where "" does not need to be translated and should be returned as is. All other Chinese text should be translated into English:Seeking advice... I have had two miscarriages, one via medication, and one fetal demise. Will this affect my future fertility? Are there any treatments available for habitual miscarriage?
Additionally, I have experienced one fetal demise. Will this affect my future fertility? Are there any treatments available for habitual miscarriage?
Also, I am 33 years old in lunar age and have never given birth. I just had a miscarriage yesterday due to fetal demise. How soon can I get pregnant again? Is it easier to miscarry with age? How can I prevent miscarriage next time?
Doctor's answer:
If you have a history of miscarriage or fetal demise, you should identify the cause before the next pregnancy to avoid recurrence. You should use the electrochemical luminescence method to test for endocrine function and anti-embryonic antibodies; undergo a colposcopy, dynamic digital hysterosalpingography, and vaginal four-dimensional color Doppler ultrasound.There is a fundamental difference between blocking antibodies and anti-embryonic antibodies. Blocking antibodies are non-specific and difficult to distinguish between true and false; anti-embryonic antibodies are specific diagnostic measures. Gene vaccines and lymphotherapy are also different. Although blood tests may seem similar, one operates at the cellular level, while the other is at the molecular level.
Antibodies such as lysophosphatidylcholine antibodies, cardiolipin antibodies, sperm antibodies, ovarian antibodies, and endometrial antibodies are used to test for infertility, but clinical studies have shown they have no practical significance and are unrelated to habitual abortion.
There are over forty causes of habitual abortion or fetal demise. Testing for anti-embryonic antibodies, four-dimensional color Doppler ultrasound, electrochemical luminescence for endocrine function, and dynamic digital hysterosalpingography should be conducted.